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Governor Josh Stein Calls Special Legislative Session to Address Medicaid Funding Shortfall

Governor Stein proposed three funding options to restore Medicaid after cuts impacted over 3 million residents due to legislative inaction over six months.

  • Governor Josh Stein called the North Carolina General Assembly back to Raleigh for a November 17, 2025, extra session to address Medicaid funding, after a Nov. 6 press release.
  • Lawmakers had six months to act and cuts to the program took effect October 1st, creating an immediate funding shortfall for North Carolina Medicaid.
  • NCDHHS reported a $319 million shortfall and a 5% reimbursement cut, with Stein offering three options, including fully funding Medicaid at $319 million, to lawmakers. Sangvai warned many providers are set to exit Medicaid by the end of this month.
  • Officials warned providers are stretched and patients turned away, while Governor Josh Stein urged residents to call representatives and House Speaker Destin Hall cited House-backed proposals, with Senate Democrats supporting an extra session.
  • The legislature adjourned last month without a full budget, leaving the state 129 days into the fiscal year without one despite the General Assembly appropriating $600 million to the Medicaid rebase.
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The Political Insider broke the news in on Thursday, November 6, 2025.
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